Uremia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age >= 18 years old. 2.Duration of maintenance hemodialysis (MHD) >= 3 months. 3.Regular hemodialysis schedule of 3 sessions per week. 4.Able to read Chinese. 5.Normal cognitive function and ability to comprehend exercise instructions. 6.Able to walk independently. 7.No acute complications (e.g., acute infection, unstable angina, acute myocardial infarction, stroke, recent fracture, etc.).
Exclusion criteria
Exclusion criteria: 1.Regular exercise habits: Weekly structured aerobic exercise >= 150 minutes or at least one session >= 30 minutes of resistance training. 2.Exercise-related contraindications: Skeletal muscle or neuromuscular disorders rendering walking unsuitable/impossible. 3.Hemodynamic instability: Uncontrolled severe hypertension/hypotension (pre-dialysis systolic BP >= 180 mmHg and/or diastolic BP >= 105 mmHg and/or heart rate >= 120 bpm), symptomatic heart failure, or symptomatic arrhythmia. 4.Interdialytic weight gain: >= 4 kg between dialysis sessions. 5.Contraindications to BFR use: Significant coagulopathy, suspected/confirmed lower extremity deep vein thrombosis (DVT), history of peripheral vascular disease (PVD), marked lower extremity edema, or dermatological abnormalities. 6.Inadequate dialysis: Single-pool Kt/V (spKt/V) <1.2. 7.Vascular access issues: Presence of lower extremity deep venous catheter or arteriovenous fistula (AVF)..
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A 6-minute walk test; | — |
Secondary
| Measure | Time frame |
|---|---|
| Physical Function;Health-related quality of life;Health-related quality of life;Cardiac output;Cardiac output;Longitudinal myocardial stress; | — |
Countries
China
Contacts
The First Affiliated Hospital of Soochow University